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Organization

LEONIDES V SANTOS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONIDES V SANTOS M.D. (OWNER)
(256) 332-3321
Entity
Organization

Contact information

Practice address
201 JACKSON AVE S, RUSSELLVILLE, AL 35653-2233
(256) 332-3321
(256) 331-0720
Mailing address
201 JACKSON AVE S, RUSSELLVILLE, AL 35653-2233
(256) 332-3321
(256) 331-0720

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ASCS8441
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000010297
AL
Enumeration date
11/20/2009
Last updated
06/07/2010
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